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1972956837
JESSICA KYLEEN STATON
LEXINGTON, SC
NPI
1972956837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: SC 6023)
Enumeration Date
2016-07-15
Last Update Date
2016-07-15
Business Address
-- JESSICA KYLEEN STATON MA CCC-SLP
225 VISTA SPRINGS CIR
LEXINGTON, SC 29072-8119
Phone number: 606-282-8270
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Mailing Address
-- JESSICA KYLEEN STATON MA CCC-SLP
PO BOX 139
BURGIN, KY 40310-0139
Phone number: 606-282-8270
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